益气健脾化痰法治疗小儿肺炎恢复期肺脾气虚证

目的:观察益气健脾化痰法治疗小儿肺炎恢复期的临床疗效.方法:选择小儿肺炎恢复期,中医辨证为肺脾气虚型的患儿60例随机分为治疗组和对照组.治疗组30例采用加味玉屏风口服液合杏贝止咳祛痰口服液(首儿药厂制剂)口服;对照组30例给予匹多莫德颗粒合氨溴特罗口服液口服,7d后评定疗效.结果:治疗组在主症和次症积分改善方面均优于对照组,差异有统计学意义,两组疗效比较差异有统计学意义(P＜0.01);治疗组与对照组愈显率比较有显著差异(P＜0.05),两组总有效率比较无明显差异.结论:益气健脾化痰法治疗小儿肺炎恢复期肺脾气虚型证较单纯西药治疗效果好,在止咳祛痰、肺部哕音消失及改善全身症状效果方面均具有优势,值得推广.

The Therapeutic Effects of Replenishing Qi Invigorating Spleen and Expelling Phlegm on Pediatric Pulmonary Pneumonia in Convalescence

Objective: To observe the therapeutic effects of replenishing Qi, invigorating spleen and expelling phlegm on pediatric pulmonary pneumonia in convalescence. Method: Sixty children with pulmonary pneumonia in convalescence were chosen as lung and spleen Qi deficiency pattern by Chinese medicine dialectics. They were divided randomly into therapeutic group and control group.30 cases in the therapeutic group took Jiao Weir Yu Ping Fen Oral remedy ( produced by the Pharmaceutical Factory affiliated to Capital Institute of Pediatrics Beijing China);30 cases in the control group took Pidotimol granules with Ambroxol hydrochloride d Clenbuterol hydrochloride oral solution. The results were compared after seven days treatment. Result: In the improvement integration of the major and minor symptoms therapeutic group was better than the control group significantly. The therapeutic effect of the former was higher than the latter significantly(P<0.01). The marketly effectivetive rate of the therapeutic group was higher than that of the control group significantly (P<0.05). The Total effective rate of the therapeutic group had no significant difference as compared with the control group. Conclusion: The Chinese herbal remedy by replenishing Qi, invigorating spleen and expelling phlegm has better therapeutic effects than the western remedy alone in the treatment of pediatric pulmonary pneumonia in convalescence of lung and spleen deficiency pattern. In effective rates, expelling phlegm,relieving cough and promoting healthy condition,the therapeutic group is better. Therefore this Chinese herbal remoedy is worth recommending.